ACC list
| category | item | nurse | physician | cardiologist |
|---|---|---|---|---|
| Normal tracing | ||||
| Normal ECG | x | x | x | |
| Technical Problems | ||||
| Leads misplaced | x | x | x | |
| Artifacts | x | x | x | |
| SINUS NODE RHYTHMS AND ARRHYTHMIAS | ||||
| Sinus rhythm | x | x | x | |
| Sinus tachycardia (>100 beats per minute) | x | x | x | |
| Sinus bradycardia (<50 beats per minute) | x | x | x | |
| Sinus arrest or pause | x | x | x | |
| Sino-atrial exit block | x | x | x |
1. Normal ECG
TECHNICAL PROBLEMS
2. Leads misplaced
3. Artifact
SINUS NODE RHYTHMS AND ARRHYTHMIAS
4. Sinus rhythm
5. Sinus tachycardia (>100 beats per minute)
6. Sinus bradycardia (<50 beats per minute)
7. Sinus arrhythmia
8. Sinus arrest or pause
9. Sino-atrial exit block
OTHER SUPRAVENTRICULAR RHYTHMS
10. Atrial premature complexes
11. Atrial premature complexes, nonconducted
12. Ectopic atrial rhythm
13. Ectopic atrial tachycardia, unifocal
14. Ectopic atrial tachycardia, multifocal
15. Atrial fibrillation
16. Atrial flutter
17. Junctional premature complexes
18. Junctional escape complexes or rhythm
19. Accelerated junctional rhythm
20. Junctional tachycardia, automatic
21. Supraventricular tachycardia, paroxysmal
VENTRICULAR ARRHYTHMIAS
22. Ventricular premature complexes
23. Ventricular escape complexes or rhythm
24. Accelerated idioventricular rhythm
25. Ventricular tachycardia
26. Ventricular tachycardia, polymorphous (including torsade de pointes)
27. Ventricular fibrillation
ATRIAL VENTRICULAR CONDUCTION
28. First-degree AV block
29. Mobitz Type 1 second-degree AV block (Wenckebach)
30. Mobitz Type 2 second-degree AV block
31. AV block or conduction ratio, 2:1
32. AV block, varying conduction ratio
33. AV block, advanced (high-grade)
34. AV block, complete (third-degree)
35. AV dissociation
INTRAVENTRICULAR CONDUCTION
36. Left bundle branch block (fixed or intermittent)
37. Right bundle branch block (fixed or intermittent, complete or incomplete)
38. Intraventricular conduction delay, nonspecific
39. Aberrant conduction of supraventricular beats
40. Left anterior fascicular block
41. Left posterior fascicular block
42. Ventricular pre-excitation (Wolff-Parkinson-White pattern)
QRS AXIS AND VOLTAGE
43. Right axis deviation (+90 to +180 degrees)
44. Left axis deviation (-30 to -90 degrees)
45. Indeterminate axis
46. Electrical alternans
47. Low voltage (less than 0.5 mV total QRS amplitude in each extremity lead and less than 1.0 mV in each Precordial lead)
CHAMBER HYPERTROPHY OR ENLARGEMENT
48. Left atrial enlargement, abnormality, or conduction defect
49. Right atrial abnormality
50. Left ventricular hypertrophy (QRS abnormality only)
51. Left ventricular hypertrophy with secondary ST-T abnormality
52. Right ventricular hypertrophy with or without secondary ST-T abnormality
REPOLARIZATION (ST-T,U) ABNORMALITIES
53. Early repolarization (normal variant)
54. Juvenile T waves (normal variant)
55. Nonspecific abnormality, ST segment and/or T wave
56. ST and/or T wave suggests ischemia
57. ST suggests injury
58. ST suggests ventricular aneurysm
59. Q-T interval prolonged
60. Prominent U waves
MYOCARDIAL INFARCTION
61. Inferior MI (acute or recent)
62. Inferior MI (old or age indeterminate)
63. Posterior MI (acute or recent)
64. Posterior MI (old or age indeterminate)
65. Septal MI (acute or recent)
66. Anterior MI (acute or recent)
67. Anterior MI (old or age indeterminate)
68. Lateral MI (acute or recent)
69. Lateral MI (old or age indeterminate)
70. Right ventricular infarction (acute)
CLINICAL DISORDERS
71. Chronic pulmonary disease pattern
72. Acute pericarditis
73. Suggests hypokalemia
74. Suggests hyperkalemia
75. Suggests hypocalcemia
76. Suggests hypercalcemia
77. Suggests CNS disease
PACEMAKER
78. Atrial-paced rhythm
79. Ventricular-paced rhythm
80. Atrial-sensed ventricular-paced rhythm
81. AV dual-paced rhythm
82. Failure of appropriate capture, atrial
83. Failure of appropriate capture, ventricular
84. Failure of appropriate inhibition, atrial
85. Failure of appropriate inhibition, ventricular
86. Failure of appropriate pacemaker firing
87. Retrograde atrial activation
88. Pacemaker mediated tachycardia